Some/many lenders don't like a 2nd mortgage behind their first (like the skin in the game), however there are both bridge or permanent financing options out there allowing you to leverage anywhere from 90% CLTV - 100% CLTV, but don't expect good terms...

Currently only getting 70% LTV through ROC Capital on our DSCR loans since my credit dropped below a 720.I've heard that second position DSCRs may be an option?

Another option would be to connect with the hospital's administrative offices, as they may have partnerships with local landlords for these types of accommodations.Regarding utilities, in mid-term rental situations, it varies.

Those are great options that I will consider.

With good credit, you can leverage business credit options.

Pacing yourself is key, especially as you get hands-on experience managing maintenance and tenant dynamics.Since you have a strong W-2 income, you're in a great position to leverage creative financing options as you grow.

Are you looking to submit just a small list, find a skip tracing service that does not have high spend minimums but rather flexible spending option for low or high volume. 

I'm looking to identify a builder with the following characteristics:1) Eager to grow his/her company and reputation in the market2) Has produced at least five high quality builds in Arizona which are at least 4K sq ft  3) Has proven track record of completing builds in a timely manner4) Personal capital to allocate to projects (optional, but ideal)Please reach out to me if you or someone you know might fit these criteria. are you set that you want luxury?

We spend zero time comparing against other options.  

This is the option I'd pick.